Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Earth Witness Therapy LLC

Organization Mental Health Clinic/Center (Including Community Mental Health Center) · NPI 1992548747

Earth Witness Therapy LLC is a Mental Health Clinic/Center (Including Community Mental Health Center) in Philadelphia, Pennsylvania. Registered with an NPI since 2024.

In the registry since
2024
Specialties on file
3
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1355 S Markoe St
Philadelphia, PA 19143-3811
Phone: (445) 895-1544
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Clinic/Center (Including Community Mental Health Center) (primary) Taxonomy 261QM0801X
Adult Mental Health Clinic/Center Taxonomy 261QM0850X
Adolescent and Children Mental Health Clinic/Center Taxonomy 261QM0855X

Record details

NPI number1992548747
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Christopher Moore — Owner · (445) 895-1544
NPI enumeratedJune 18, 2024
Last updated in NPPESJune 18, 2024
Certification dateJune 18, 2024
Mailing address1355 S Markoe St, Philadelphia, PA 19143-3811

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